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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Transcatheter Aortic Valve Replacement: Role of Multimodality Imaging in Common and Complex Clinical Scenarios

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  • Jeroen J Bax
  • Victoria Delgado
  • Rebecca T Hahn
  • Jonathon Leipsic
  • James K Min
  • Paul Grayburn
  • Lars Sondergaard
  • Sung-Han Yoon
  • Stephan Windecker
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Transcatheter aortic valve replacement (TAVR) is an established therapy for patients with symptomatic severe aortic stenosis. Technological advances and the learning curve have resulted in better procedural results in terms of hemodynamic valve performance and intermediate-term clinical outcomes. The integration of anatomical and functional information provided by multimodality imaging has improved size selection of TAVR prostheses, permitted better patient selection, and provided new insights in the performance of the TAVR prostheses at follow-up. Furthermore, the field of TAVR continues to develop and expand the technique to younger patients with lower risk on the one hand, and more complex clinical scenarios, on the other hand, such as degenerated aortic bioprostheses, bicuspid aortic valves, or pure native aortic regurgitation. The present review article summarizes how multimodality imaging can be integrated in TAVR in clinical (sometimes complex) scenarios that have not been included in the landmark randomized clinical trials.

Original languageEnglish
JournalJACC. Cardiovascular imaging
Volume13
Issue number1 Pt 1
Pages (from-to)124-139
Number of pages16
ISSN1936-6574
DOIs
Publication statusPublished - Jan 2020

ID: 59142395